Cultural Competence And Health Equity In Nursing Care

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Question 1
Free
Multiple Choice

Which of the following terms refer to characteristics of a group whose members share a common social, cultural, linguistic, or religious heritage?

Choose correct answer/s
A

Diversity

B

Ethnicity

C

Ethnocentrism

D

Cultural imposition

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Question 2
Free
Multiple Choice

The nurse is caring for Indigenous clients in a community clinic setting. Which of the following would the nurse include when developing strategies to decrease health care disparities?

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A

Improve public transportation.

B

Obtain low-cost medications.

C

Update equipment and supplies for the clinic.

D

Educate staff about Indigenous health beliefs.

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Question 3
Free
Multiple Choice

Afamily member of an elderly Hispanic client admitted to the hospital tells the nurse that the client has traditional beliefs about health and illness. Which of the following actions is most appropriate for the nurse in this situation?

Choose correct answer/s
A

Avoid asking any questions unless the client initiates conversation.

B

Ask the client whether it is important that cultural healers are contacted.

C

Explain the usual hospital routines for meal times, care, and family visits.

D

Obtain further information about the client's cultural beliefs from the daughter.

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Question 4
Free
Multiple Choice

When caring for an Indigenous client, which of the following actions is the best initial approach in relation to eye contact for the nurse to take?

Choose correct answer/s
A

Avoid all eye contact with the client.

B

Observe the client's use of eye contact.

C

Look directly at the client when interacting.

D

Ask the family about the client's cultural beliefs.

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Question 5
Free
Multiple Choice

Agraduate nurse is assessing a newly admitted non-English-speaking Chinese client who complains of severe headaches. Which of the following actions by the graduate nurse would cause the charge nurse to intervene during this assessment interview?

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A

Sit down at the bedside.

B

Palpate the client's scalp.

C

Call for a medical interpreter.

D

Avoid eye contact with the client.

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Question 6
Multiple Choice

The nurse is caring for a client who speaks a language different from the nurse's language and there is no interpreter available. Which of the following actions is the most appropriate for the nurse to implement?

Choose correct answer/s
A
Use specific medical terms in the Latin form.
B
Talk loudly and slowly so that each word is clearly heard.
C
Repeat important words so that the client recognizes their importance.
D
Use simple gestures to demonstrate meaning while talking to the client.
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Question 7
Multiple Choice

According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural values is in which of the following domains?

Choose correct answer/s
A
Skills domain
B
Affective domain
C
Knowledge domain
D
Behavioural domain
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Question 8
Multiple Choice

Which of the following actions represent the best example of culturally appropriate nursing care when caring for a newly admitted client?

Choose correct answer/s
A
Have family members provide most of the client's personal care.
B
Maintain a personal space of at least 0.5 m when assessing the client.
C
Ask permission before touching a client during the physical assessment.
D
Consider the client's ethnicity as the most important factor in planning care.
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Question 9
Multiple Choice

While talking with the nursing supervisor, a staff nurse expresses frustration that an Indigenous client always has several family members at the bedside. Which of the following actions is the most appropriate action for the nursing supervisor in this situation?

Choose correct answer/s
A
Remind the nurse that family support is important to this family and client.
B
Have the nurse explain to the family that too many visitors will tire the client.
C
Suggest that the nurse ask family members to leave the room during client care.
D
Ask about the nurse's personal beliefs about family support during hospitalization.
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Question 10
Multiple Choice

An elderly Asian Canadian client tells the nurse that she has lived in Canada for 50 years. The client speaks English but lives in a predominantly Asian neighbourhood. Which of the following actions is most appropriate for the nurse?

Choose correct answer/s
A
Arrange to have a folk healer available when planning the client's care.
B
Ask the client about any special cultural beliefs or practices.
C
Avoid making direct eye contact with the client during care.
D
Involve the client's oldest son in making health care decisions.
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Question 11
Multiple Choice

Which of the following statements is true related to immigrants to Canada?

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A
Decreased risk of social exclusion related to Canada's multicultural population.
B
New immigrants tend to be in overall better health than the resident population.
C
Health status of immigrants is not related to length of time in Canada.
D
Unemployment is not associated with poorer health outcomes for immigrants.
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Question 12
Multiple Choice

Which of the following question formats is the most appropriate for the nurse to ask when communicating with a client that has limited English proficiency?

Choose correct answer/s
A
Are you tired and in discomfort?
B
You have taken your pills right?
C
Are you alright?
D
Are you in pain?
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Question 13
Multiple Choice

An Indigenous client tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it. Which of the following statements depicts what the client is describing to the nurse?

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A
Evidence-informed national guidelines
B
Awareness and knowledge of his own culture
C
The explanatory model of health and health practices
D
Knowledge about the difference in modern and folk health practices
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Question 14
Multiple Choice

Which of the following statements represents a health inequity currently experienced in Canada?

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A
Indigenous adults are less likely to smoke tobacco than other adults in Canada.
B
Overall suicide rate among First Nation communities is about twice the rate of the general population.
C
Individuals from lower income neighbourhoods undergo preventive health screening more that their higher income counterparts.
D
Recent immigrants are more likely to have a primary care physician than Canadian-born individuals.
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Question 15
Multiple Choice

When performing a cultural assessment with a client of a different culture, which of the following actions is the initial action to be taken by the nurse?

Choose correct answer/s
A
Wait until a cultural healer is available to help with the assessment.
B
Obtain a list of any cultural remedies that the client currently uses.
C
Ask the client about any affiliation with a particular cultural group.
D
Tell the client what the nurse already knows about the client's culture.
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Question 16
Multiple Choice

Equity in health care is concerned with creating equal opportunities for good health for everyone in which of the following ways? (Select all that apply.)

Choose correct answer/s
A
Decrease negative effect of social determinants of health.
B
Increase awareness of acute care programs.
C
Enhance access to services.
D
Reduce exclusion.
E
Decrease nonmodifiable risk factors.
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Question 17
Multiple Choice

Which of the following characteristics represent the affective domain of the ABCs of cultural competence? (Select all that apply.)

Choose correct answer/s
A
Openness
B
Desire to learn
C
Respect for others
D
Promote health literacy
E
Support informed client choice
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